| dc.contributor |
Médecins Sans Frontières-Holland, Amsterdam, The Netherlands. zahir_babiker@yahoo.co.uk |
|
| dc.creator |
Babiker, Z O E |
|
| dc.creator |
Davidson, R N N |
|
| dc.creator |
Mazinda, C |
|
| dc.creator |
Kipngetich, S |
|
| dc.creator |
Ritmeijer, K |
|
| dc.date |
2007-04 |
|
| dc.date.accessioned |
2017-01-31T07:09:42Z |
|
| dc.date.available |
2017-01-31T07:09:42Z |
|
| dc.identifier |
Utility of lymph node aspiration in the diagnosis of visceral leishmaniasis in Sudan. 2007, 76 (4):689-93 Am. J. Trop. Med. Hyg. |
|
| dc.identifier |
0002-9637 |
|
| dc.identifier |
17426171 |
|
| dc.identifier |
http://hdl.handle.net/10144/18275 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/18275 |
|
| dc.identifier |
The American Journal of Tropical Medicine and Hygiene |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/18275 |
|
| dc.description |
We evaluated lymph node aspiration (LNA) as a simple diagnostic procedure for visceral leishmaniasis (VL). Lymph node aspiration was compared with the direct agglutination test (DAT) using a diagnostic titer > or = 1:6,400 in 7,880 suspected VL patients in eastern Sudan. Compared with DAT, LNA had a sensitivity of 65.1% (95% confidence interval = 63.5-66.6%). Parasite density in LNA correlated strongly with DAT titers (P < 0.0001), and low parasite density accounted for 78.1% of positive LNA results with DAT titers < 1:6,400 (n = 782). Risk factors predictive of a positive LNA result were an age of 1-29 years, male sex, a hemoglobin level < 10.0 g/dL, a DAT titer > or = 1:800, and a location with a higher prevalence of VL. Lymph node and splenic aspirations were similarly accurate as tests of cure after treatment of 50 VL patients in southern Sudan. Pre-treatment LNA results were negative in 20 cases of severe post kala-azar dermal leishmaniasis. |
|
| dc.language |
en |
|
| dc.publisher |
Published by: American Society of Tropical Medicine and Hygiene |
|
| dc.relation |
http://www.ajtmh.org |
|
| dc.rights |
Archived on this site with the kind permission of the American Society of Tropical Medicine and Hygiene,www.astmh.org |
|
| dc.title |
Utility of Lymph Node Aspiration in the Diagnosis of Visceral Leishmaniasis in Sudan. |
|